WAJIBIKA MAMA AISHI –BE ACCOUNTABLE SO MAMA CAN LIVE- 3 YEAR (2013-2015/16)

CAMPAIGN ON CEmONC

Workshop on Enhancing Capacity for Budget Analysis and Advocacy for Women's and Children's Health

27-30 August 2013 Nairobi, Kenya

Presenter: Rose Mlay, WRATZ

Tanzania Map showing Rukwa Region

Background /context Numbers of mothers and newborns dying in child birth are high

and constant, each day 24 women and 144 newborns die The only proven way to reduce pregnancy related deaths is to

access skilled birth attendance (SBA). In Tanzania SBA available only at health facilities

Only 51% of Tanzanian Pregnant women give birth at health

facilities. In Rukwa Region only 29.3% give birth at health facilities 75% of maternal deaths are due to direct causes including severe

bleeding, obstructive labor, eclampsia, infection and abortion. All these can be managed and treated in a facility where Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services are offered.

Background Continue

In Rukwa the average distance from a health center (HC) (near the women) to regional hospital where CEmONC is offered is 94.5km The Government’s commitment is for 50% of all HCs to provide

CEmONC, BUT there is no budget line for CEmONC in the Comprehensive District Health Plans (CCHP)

All the 10 government HCs in Rukwa Region do not offer

CEmONC although one (Kirando) can perform c/s under difficulties –no reliable electricity, no oxygen machine or resuscitation kits WRATZ is therefore campaigning for a Budget line for

CEmONC at HCs

Rukwa Region with Districts and Distance of each to Sumbawanga Municipal where CEmONC can be provided – ranging from 45-154km

Budget advocacy objective and strategy

The budget advocacy objective is to have a budget line for CEmONC in HCs in the National and Council Comprehensive Health Plans so that CEmONC can be offered at HCs. The strategy is involving all related stakeholders from the beginning including

development of the strategy. Part of this campaign is funded by funds sourced by the WRA Global

Secretariat and other part is expected to be funded by interested WRATZ member organizations and partners

Outputs/ “Outcomes” of the advocacy strategy

Evidence for the campaign obtained through analysis of the Tanzania Demographic Survey, assessment of results of 2 districts out of 4 conducted by Wazazi na Mwana Project, WRATZ assessment of the 10 health centres of the 4 districts in Rukwa – physical assessment of what is available basing on the WHO signal functions of CEmONC and getting citizen as well as district and regional leaders voices. Advocacy Package developed using the evidence. A Petition on CEmoNC

developed On August 12, 2013 the first activity of the campaign was implemented, which

is a meeting with Parliamentarian Group for Safe Motherhood (PGSM) where the attendance was quite high and all in support of the issue. PGSM like to take more time planning on how to champion on this campaign

more effectively and how to move the petition among the larger group of MPs as well as how to make the petition more impacting

Challenges to the implementation of advocacy strategy

Challenges in the implementation of the advocacy strategy— - The campaign has just started, we expect success, but we foresee

challenges in meeting with the high profile politician on the scheduled time – we know they are the ones who can change policy and instruct allocation of the budget line. To overcome this we are using persuaders and will request for meetings weeks before the actual date.

- The current fund we have will not be enough and there has not been a member organization or partner/company who has shown interest in co-funding the campaign although the strategy and campaign activities were shared widely We plan to write individual organization/partners/companies letters as follow-up

-

Facilitating factors to the achievement of budget advocacy outcome

Factors facilitating successful implementation of strategy include: - Involving all related stakeholders right from the beginning - Engaging high profile decision and policy makers - Empowering communities to add their voice on the issue by demanding for the

life saving services

Some PGSM and WRATZ members in a group photo after a meeting

THANK YOU FROM WRA TANZANIA